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Home My WebLink About020-1125-60-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Reidenbach, James J. & Beth Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: iao Q 1 G5T TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~; tsN G.~~'es~e~.. / Po d ~ S~ Holding TANK SETBACK INFORMATION TANK TO /~P /~7"~ ~ WELL LDG. Vent to Air Intake ~- .~. ROAD Sec ' 750 /~ ~ 5 / ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Model N r Demand GPM TDH Lift Friction Loss Syste TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 515261 0 State Plan ID No: Parcel Tax No: 020-1125-60-000 Section/Town/Range/Map No: 07.29.19.572 STATION BS HI FS ELEV. Benchmark 7 ` ~ d Y G~ Alt. B '1 ~ Z ~ ca . ~T Bldg. Sewer SUHt Inlet I ~ ~ 1 SUHt Outlet ~• t• 4.75 ~- ~ S.~ S7.3 Header/Man. ,~~ `l~ 7 9L• 7 Dist. Pipe 7• 9 • y• Bot. System 4 slg .jy, Final Gnr/a`de A~J , ~ I 7 ~g~ St Cover ~; , ~, z s3 ~1j,) • ! 7 ' Vast ~-- Ol S ~ ~t 7. 1 ~o ., BEDITRENCH Width ~ Length j-•~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~i~',vILJ 1 - n 3 f II~GW~J ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ~~ „ INFORMATION CHAMBER OR ~ `~~ ~ Typ Of System: ~t) B~ 1 Ctti ~ ~ ~~ 7d ~ UNIT Model Number: ~; Gay, DISTRIBUTION SYSTEM /5 f- / 5 ~--~ /S _-. 'S~~d`otf4,. Header/Manif old ~ Distribution x Hole Size x Hole Spacing Vent to Air Intake / Z +-I o Length ~ 0 y+ Dia Pipe(s) ` ~ Length \ Dia Spacing~_ ` \ ~ n G,f~,.~~,,N, SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ti ~( Q Bed/Trench Edges /~_ Topsoil ~ ~s No Yes 0 No _ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /- Location: 355 Miller Road Hudson, WI 54016 (NW 1/4 SE 1/4 7 T29N R19W) Eagle Ridge Lot 43 Parcel No: 07.29.19.572 1.) Alt BM Description = ~' ~ ~ Cd *JQ~ C~,4, i ~..s ~"' ~ o ~ o ~ 2.) Bldg sewer length = ~ - amount of cover =~jf t ~^~ ~ Plan revision Required? 0 Yes Use other side for additional information. SBD-6710 (R.3/97) (~ 7i~ ~ V Date V ~ i J Insepctor's Sig lure Cert. No. ~ bI6Si 8['£ 6L6'b9 [ I b65'0 8£S'Z 8IZ'0 d £6'L b5'0 OLL 99L 89 I I £09'0 8Zb'Z £SZ'0 ~ [8£'6£ I I 6L5'0 bZ8'Z 9£I'0 S 00'Ob-00'09 ~ 6C[LI bb'£ Obb'£9 I I 865'0 6b'Z ££Z'0 d 6CL bS'0 6Z £S9'[L I I II9'0 Zb£Z £8Z'0 ~ 80C£b 1 I Z85 0 SSL Z bS l'0 S 00'09-0008 ~ LO'06[ OS'£ Z£S'99 I I 509'0 SOb'Z I9Z'0 d ISS b50 8Z I£8'89 I I 819'0 6LZ'Z 90£'0 ~ 855 Ob I I £85'0 8ZL'Z Z9l'0 S 00'08-00'OOI ~ 9606[ Z8'£ Z6S'£9 [ I I9'0 Lb£'Z I8Z'0 d £['b b5'0 L.L 680'[9 l l ZZ90 LtZ'Z 6I£0 J 899'I£ I I Z85'0 69CZ ISI'0 S 00'001-00'OZI ~ 56'9L[ b5'£ 9LS'SS I 1 £I9'0 £Z£'Z 6Z0 d 00'b b5'0 9Z 86£'65 I I 5£9'0 ZSI'Z 85£'0 ~ 68Z'6Z I I b8S'0 bZCZ £9I'0 S 00'OZl-00'ObI ~ 98'ZLI 9b'£ ZZS'[S I I Z9'0 59Z'Z ZI£'0 d S8'Z ZS'0 S,L ISZ'85 I I L59'0 8£0'Z blb'0 ~ bS0'LZ I I L85'0 99'Z I8I'0 S OOOb[-00'09l ~ 8['L9l b££ ZZZ'S£ I I Z09'0 bb'Z 6bZ'0 d SO'Z 6£'0 b.L b6b'6S 1 I L'0 568' I b05'0 ~ £86'SZ I I b65'0 9£S'Z 8[Z'0 S 00'091-00'081 ~ 4S'b9i 6Z £ £86'SZ I I b65'0 9£S'Z 8lZ'0 d Z8'Z ££'0 £Z IbL'0£ [ I 95L'0 Z08'I £09'0 ~ 6Z6'II I I 209'0 I£b'Z ZSZ'0 S 00'08I-00'06I ~ 89'S9I 99'I 6Z6'ti I I Z09'0 I£b'Z ZSZ'0 d ZO'I 9I'0 Z.L SLl~6 [ I ZOL'0 68'I 805'0 ~ Z8Z'Z I [ Z8S0 £9CZ ZS I'0 S 00'06I-00'S6I ~ 68'b0l ZS'0 Z8Z'Z I [ Z85'0 £9L'Z ZS I'0 d b£0 LO'0 LL 1 x ~ a x x 1 J aav,~ n 1y81ay1 Iy8za~1 uopvnalg •Ia1~ na ,3 3y ~Q ap aU a~ a .~ faS PP6' uo~yaaS a~e~ 01 ~euaaoN puiM - a~~ oN - sa~ao~ aannol 000'0 000'0 00'Lb I6I'ZL 909'91 ~ 0000 000'0 ZI'OL I£CIb £8CLl S 000'0 000'0 89'Sb [£CIb I58'bL £05'91 d LZ9'b6b 9 000'0 000'0 L8'8£ 86b'Z6 9L8'bt ~ 0000 000'0 SI'IL I£Clb OZ69I S 000'0 000'0 LI'Zb I£CIb [£L'£8 6ZZ'SI d LZ9'bSb 9 000'0 000'0 [£'8£ SS6'06 9b6'£I ~ 000'0 000'0 Ob'IL 68l'Ob S60'9I S 000'0 000'0 b9'Ib 68I'Ob 68l'Z8 Ll£'bI d 60Z'blb L 000'0 000'0 ZO'6Z b99'08 SL£'ZZ ~ 000'0 000'0 OZ'£S L68'6Z ZO£'9Z S 000'0 000'0 6b'I£ L68'6Z L68'IL £SO'£Z d 08L'£9£ 8 000'0 000'0 8S'SZ 9L0'6L bL6'6I ~ 000'0 000'0 LO'b5 60£'8Z £b0'bZ S 000'0 000'0 II'I£ 60£'82 60£'OL 9L9'OZ d Z9£'£Z£ 6 000'0 000'0 60'6Z 800'LL ZOZ'£! ~ 000'0 000'0 £S'I9 lbZ'9Z LOb'9I S 0000 0000 00'Z£ [bZ'9Z !bZ'89 SSL'£I d Sb6'Z8Z 6 000'0 000'0 Zb'8Z 69b'SL 6£b'II ~ 000'0 000'0 Zb'Z9 £OL'bZ £L8'bI S 000'0 000'0 99'Z£ £OL'bZ £L£ £9 LSZ'ZI d 8Z5'ZbZ 6 000'0 000'0 1CLZ I£6'£L 199'6 ~ zT z1 ~ ~ ~ a ~ aab,3 aany a 7nQ u] % D dyr~ v~v~ Sa7 saiV ad ~V d oV I 00'OI 00'0-00'OZ 1 LL 00'OZ-00'Ob l 00 0£ OI.L 9Z l' I 00'05 00'Ob-00'09 6Z bZ I 00'OL 00'09-00'08 8Z 00'08-00'OOI Z££' I 00'06 L.L 00'00 [-00'OZ I [Ib'l OOOII 9Z 00'OZI-00'ObI 8b'I 00'0£1 SZ uopnnal,~ 'b zx z uolyaaS pue~pp oees~ ~(q pau6lsaa 6ui;~nsuo~ pan8 ;uail~ IL09-£Z£-~09) :auoyd ~lY `silodnauut/y 0 L/8 L/ZO OE~6l ~Z L OOZ00'0 L 80£ as?nS pvog.taa?g 1Sn.~ rozs s.~aauz8u ~ Sta;fin a;ea ;~afo~d , S.tB;~Eii~t18 ~E }o ~~ (uo;~noH) 58EOdSW-NW abed qof commerCe.wi.gov Safety and Buildings Division county 201 W. Washington Ave. O. ox 7162 ~ St. Croix i sco n s i n 7 ~ Madison, W7 Sanitary Permit Number (to be filled in by Co.) Department of Commerce ~"~ 4 / "" Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21{2), Wis. Adm. Code, submission of this form to the appropriate governmental Project Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS aze submitted to the Department of Commerce Personal information you provide may be used secondary n ~ ? L ~ ~l r . S ~ /G t Same oses in accordance with the Privac Law, s. 15.04 1 m , Sta J ,J I. A lication Information -Please Print All Informati n Property Owner's Name / Parcel # 020-1125-60-000 Jim & Beth Reidenbach « ~~~~ Property Owner's Mailing Address CRQIX CgUNTY ST Property Location ~~ . 355 Miller Road PLANNING & ZONING OFFICE Govt. Lot '' ' City, State Zip Code Phone Number /a, Section 7 NW /a, SE (circle one) Hudson, WI. 54016 715-386-7557 T 29 N; R 20 E or w II. Type of Building (check all that apply) Lot # 43 i i i ^ 1 or 2 Family Dwelling -Number of Bedroom//~~s 3 Subd v s on Name K~~ a cQ, wf,t Block # Plat of Eagle Ridge ^ Public/Commercial -Describe Use Na ^ City of ^ State Owned -Describe Use CSM Number ^ Village of ~~s e1~5 ~ l5~-15-t /5' a Na l5 ^ Town of Hud_s_on III. Type of Permit: (Check onl ne box on line A. Complete line B if applicable) A' ^ New S stem y Re lacement S stem p y ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System (explain) B• ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T of POWTS S stem/Com onent/Device: Check all that a t on-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component xplain) ^ Pretreatment Device (explain) V. Dis ersaUTreatment Area Informatio :45 I dtrator "Q-4" standard chambers & 6 end s, Wieser Concrete filter canister w/ Pol Lo PL-525 uent fil Design Flow (gpcja' Design Soil Application gpds~ Dispersal Area Required (sf) Dispersal Area Proposed (s System Eleva ton 450 gpd ~/ 0.50 gpd/sq. ft. 900 sq. ft. 917.40 sq. ft. 93.50', 94.00', 94.50' VI. Tank Info Capacity in Total # of Manufacturer l Gallons Gallons Units a' i o '~ U v New Tanks Existing Tanks w c o a , ~' «. 2 & ~ ~ ~ ~, a U vt ~, ~ w C7 F, Septic or Holding Tank Na , 1,000 1 Weiser Concrete X Dosing Chamber Na Na Na Na ~' ' 1 VII. Responsibility Statement- I, the node signed, assn a responsibility for ' alla ' n of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signatur MP/MPRS Number Business Phone Number James K. Thom son S MPRS 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54020 VIII. Count !De artment Use Onl A proved ^ isa ro Permit Fee Date Issued Issuing ent Signature p pp $ m ~ ~~ 5~/ ~ /o ^ iven Reason for Denial IX. Condit~easons for Disapproval z / / "I; Septic tank, effluenffifl®r and dispersal cell must all be servkes /maintained as per management plan provided by plumber. 2. Ail setback requirements must be maintained Attach to complete plans for the system and submit to the County only on paper not less than 8 in x 11 inches in size SBD-6398 (R. 02/09) Valid thru 02/11 01 ~, 1 ~F \~' r (Y .~ ear f~'~Iy~C~I - Y N4 __ r_ y~i. ~ ~ ~- ~- 8~ g3 ~~ ~i _ /~ ~l'1'til~~ ad y ~~ °~' 3 ~1 ~~ ~1 1 i I t o ~ I ~ ~ ~~ \ ~ rx~ ~46r~~/. ~ L!XiSL~i (/ 7 ~ r T vp ~ 3 (aCd i'OOM "- i \ ~- ~ _. ~tcr 4 /~~ • ~' y 1 atSwQ boas /sf/C. open la u~rl u~c~e d ~ Ci~us~y i 1oraae • ,,,,c'XISL'?~ ~radt 2/cv ~,a cap mop. sta-~t'c _., , ,Py(~?1 /l Ti /h ~ r6 effi e: a/a.~ 6 a c% ~i~ 3SS/~1://c.- oad Hudson, a)/. S'S~o/6 .Lot 5~3, P/Q6o,r'E~+~f/a ~d~, /1 kJY¢S~"~'S; Sec. 7, ~:" 29K., 5E. Cm~7r Co; ~J/, roc,/. +~ OZO-//,ZS bo -ct~ be;,~~ /,78ac~cs 1 JuciC ~ ~ btu ~~~~ and I~ `_'~" ~ Ex~s~ ~q , coo ~o~.P ~v, ~s~ I C.u-, S~odr. ~...~C. Elegy` a~ f 1~ owtf~~;a/cft.-9rZr'; y~+a.dt=/~o./o' 1 1 Ex.;s~n /8;rj~ q~a~<-/ 1 i S4r,~ace ¢fcu~.: 9G.do't L~~ ~ c~~y ~~I'Ytlle/ `t"~ 1 ~F .~ ~~ 1 ,~ e% c ~ `~ .,p ~~~-_ ,' t ~~ g3 7 M r~l m ,~ ~~ °i' 3 ~I ~~ ~~ M 1 i I I o EX%s L' ~radt a%v _.. ~~~~ ~, T, rr ~ ~ eE~~e; d.., b a c,~ /a 3ss/r!://cr oad f,/adson, ~/. s5~/6 t Lot 5~3, P/a ~ e~'Ea~j/c 'P, d~fe, JJ`~ AkJY¢SF/¢/, .Sec. 7, T.' 29K., 0 R i9cJ; T. oF.S~.~TcSeP'~, 5E. Cro~7c Co; cJ/, P~ ~ 020-//,ZS- bo ~~27 bt;n~ /,78ac~es '~ ~{ a, ~ ~ ~ ~ ` r~FP 3 6cd~oc~-+ aa~aae ~` ~ . ~ \~ ~ Rcs; duce , ~__ `a-- - ~..~.-cs.•T co.~a~.~Q! ~.- ~ ~l il•s.~nf. '~~ 1 ~~~~` : ~9' e .y A al - - ~ ~ fcn cn~ s ep6 r, ta.-~l! E/ec~ a.~ 1 /-lafrs+'e. L ou.~E(t~ ~nJcr•~s97•'U': ~i+sdt=ido/o, ~ ~acS 1- ~ f}oposcdd~ucr~sia+•+ ~ j Ex.;S~n /BxjG q~4/e./ valdc. j j~--d,~loc~.J ce.f/..z'.~{-~t~a.~Er'vl open /au7rJ ' 1 Sc~r~aee elc~= 9G.do't cJo~e d L =.~ ¢ a,~~ y Wisconsin Department of Commerce SOIL EV UAjT~ION REPORT Division of Safety and Buildings in accordance with Commdai-. Code 2211 Page 1 of 3 A.C.E. Soil & Site Evaluations `~ ~ County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must:; ~ `'' ~ St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I. . 020 1125- 0-000 Please print all information, Revi ed By Date Personal information you provide y us rivacy , s.15.04 (1) (m)). 5 /~ /b Property Owner Property Location Jim & Beth Reidenbach Govt. Lot NW 1 4 SE 1/ S 7 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name r CSM# 355 Miller Road LINTY 43 Plat Of Eagle Ridge City St ed6 8t~t11(e~6~IGE ~ ~ City ~ Village ~f Town Nearest Road ~ Hudson ~ 54016 715-386-7557 Hudson Miller Road J New Construction Use: t/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD t/ Replacement J Public or commercial -Describe: Parent material Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for conventional POWTS dispersal cell wit 0.5 pd/sq.ft./day loading rate. Proposed trench elevations to be 94.50', 94.00' & 93.50'. Boring # ~ Boring >101" ' Pit Ground Surface elev. 97.36 ft. 4' in. Depth to limiting factor Soil A ication Rate ppl Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/4 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 11-19 10yr4/4 none sil 2fsbk mvfr cw 2fmc 0.6 0.8 3 19-36 10yr4/4 none sicl 2msbk mfr cw 2fm 0.4 0.6 4 36-42 10yr4/4 none Is Osg ml cs 1f 0.7 1.6 5 42-101 10yr4/6 none % Osg ml - - 0.5 0.8 ~y Horizon #5 contains many stratified layers of 10yr4/6 medium coarse sand too numerous to differentiate. Loading rate reduced to refelct reduced permeability of horizon due to textural changes. Boring # Boring Pit Ground Surface elev. 99.42 ft. >97~~ in. Soil A lication Rate Depth to limiting factor pp Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/6 none sil 2fgr mvfr gs 2fmc 0.6 0.8 2 10-27 7.5yr4/6 none sicl 2fsbk mfr gs 2fm,1c 0.4 0.6 3 27-35 7.5yr4/6 none fsl 2msbk mvfr cw 1fm 0.4 0.8 4 35-42 7.5yr4/6 none Is Osg ml cw 1vf,f 0.7 1.6 5 42-52 7.5yr4/6 none ~~ Osg ml gs - 0.7 1.6 6 52-97 10yr4/6 none ' s Osg ml - - 0.5 0.8 Horizon #6 contains many stratified layers of 10yr4/6 me um coarse sand too numerous to differentiate. Loading rate reduced to refelct reduced rmeability of horizon due to textural changes. * Effluent #1 = BODS> 30 < 220 mg/L a d TSS >30 <' 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat re: CST Number James K. Thompson y„_. 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/5/2010 715-248-7767 Property Owner Jim & Beth Reidenbach Parcel ID # 020-1125-60-000 Page 2 of 3 a Boring # Boring Pit Ground Surface elev. 97.61 ft. Depth to limiting factor >gg" in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/6 none sil 2fgr mvfr gs 2fmc 0.6 0.8 2 8-36 7.5yr4/6 none sicl 2fsbk mfr cw 2fmc 0.4 0.6 3 36-50 10yr4/4 none Ifs Osg ml cw 1fm 0.4 0.8 4 50-68 10yr4/6 none q3 ~ s Osg ml cvv 1 fm 0.7 1.6 5 68-78 7.5yr4/6 none Osg ml cw - 0.7 1.6 6 78-99 10yr4/6 none ~p ~ s Osg ml - - 0.5 0.8 Horizon #6 contains many stratified layers of 10yr4/6 medwm permeability coarse sand too numerous to differentiate. Loading rate reduced to refelct reduced of horizon due to textural changes. Boring # J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # J Boring ,J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) A.C.E. Soil & Sf[e Evaluatlon5 . ,, EX%s~~~~f, ~rodt Q.lc/ ~P4(``u / T, n1 ~ ~6 eL`~i~c.'d~n 6 a cJ. ._-_.--- _ ~ M'i~~~ ~oad~ ~ 3SS/~fi//cr oad Hudson, c.1 /. SS~O/6 L.ot 5~3 P/a ~ of'E~/e ~ dye, AtvYyS~Yy, See. 7, 7.' 29it., SE. Cro~7t Co; cJ/, roc./. ~ Oz0 ~%/,ZS 60 -~2'J ~~ ~~ ~ 3 be,n~ /78ac~cs ~ ti v~ ~ ~' M ~ti \ • \^~. i ~1e -, ~ ~?~ '~ e ~ ~ ~ `~~' 3 61ol~DOM ~ ~e+ra~C ~ v I i ~ n ~ _y~ ~" _ ~ ~ ~'~ ~~ ~ iQeSi d I.nGG ~ i ~ Cre'( f ~~ ~ A ~ ~ ~ sa~~ryry - ~-- - JWC '~9. uw ~ ~ + ~' ~ J f ~ _. - - round _~ ~ ~ ~, r 0 v~'~~'` ~ G •n ~ F- `'' _r 61 - t ~ EXlsfJ~?q / c~0 ~yaG. w, cscr (mss t Cu-~cn~e scpd.r.~a..ti! E/eJ: aE. ' /f(aEw-e. 1 ou~.(c¢ in/cr~: 91,2!'s ~rdde=i~o./o' EX.;s~n /B.CjG ~/'4Je./ ~nI t ~~'-d~s~O~I~iI Ce-~/. 2•~i%t~c~.tfidC ~I open /a <.ari 1 ~ Sc~r,~a ce elc~ - 9G. <!0't ~ tt~ooc~e d ~ -- -~ ~ anus~~. ~~_ 3 0~3 Conventional POWTS Index & Tilte Sheet Project Name: Reidenbach 3 bedroom Replacement Conventional POWTS Owners Name: Jim & Beth Reidenbach Owner's adress: 355 Miller Road, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 43, Plat of Eagle Ridge Legal Description: NW1/4 SE1/4, Sec. 7, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID #: 020-1125-60-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Treatment &/or Filter Tank Cross Section Page 8 Parcel map Page 9 Septic Tank Maintenance Agreement Page 10 Certification for Utilization of existing septic tank Page 11 Waranty Deed Attachments: Soil Evaluaiton Report Mater Signature: Restricted Service: James K. Thompson, Dept. of Comm. Credential #30021 Date: S ~~~~ Page 1 Of l l Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/Ol) DISPERSAL CELL SIZING CALCULATIONS 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow 2. Infiltrative capacity of native soil = O.S,gpd/sq. ft. 3. Absorption area required: 900.00 sq. ft. 4. Absorption area as proposed: 917.40 sq. ft. (45 chambers total) Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end cap (pair) = 5.80 sq.ft, EISA 900.00 sq. ft. - (3 pair endcaps)(5.80) = 882.60 sq. ft. 882.60 sq. ft./20.00 =44.13 chambers required Number of trenches: 3 ~ 15 chambers per trench Trench width: 2.83' Trench length: 62.00' Trench spacing: 9.00' on center Total system area w/ 5' trench spacing: 21.00'x 62.00' Pg. 3 of 11 p;, A K~ ~O ~ ~, ~~~ ~ T~ ~~ o ~ ~ ~ 00 ~~ N~ c ~~ ~ ~ ;I ~ ~• ff" N ~ ~_ ('}~ ~- ~ , ~ U1 O ~ ~ (d ~ ~ ,, ~ ~ H A ~~ .F ~ J (~ ~ ~ o _ 1 ~ ~^ ~ f~ A p ,. d ~, --~~ .__.~~ ~~~ ~ F' A a ~ ~' I~ ~~ ~3 ~~ ~~ ~ a '~ a ~~ ~ R cop ~ R^ C r _~ m z 0 n D n O Z r-i 0 /1o Scot/e J f Z ~: z ~. °~ o~l~ a ~ f='1 r i C1=0 A Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.O1/O1). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorution Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L, BODS, 150 MG/L, TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on atwo-year/I-year schedule by use of diversion valve. Effluent to be diverted from new dispersal cell to old cell at 4 year anniversary of new system installation. Old cell to be utilized fora 1 year period. Afterwards, effluent dispersal to be alternated between cells on schedule to allow use of new cell for two years and old cell for 1 year. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. ~. sQ~~i EFFLUENT FILTERS "The PL-525 has 525 linear feet of 1/16" slots. It has an automatic shut off ball. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. No other filter on the market can make that claim!" "The PL-122 has over 122 linear feet of 1/16" slots. Rated for 1500 gallons per day, and can be manifolded together with other PL- 122's to double or triple the GPD. It has an automatic shut off ball that stops flow when the filter cartridge is removed for cleaning. Comes complete with it's own housing, no gluing of tee or pipe and no extra parts to buy. Alarm (~( Accepts PVC accessib7li~ty ~ t~ ~ extension handle 525 linear feet of 1/16" Ifltrat(on slots'"`~ a Rated for over 10,000 GPD Accepts 4" & 6" ~Cw-~ SCHO. 40 Pipe `\. ''! \- t~, , \- ~ ~~ _- { _~_--e GA3 deflactm _e Automatic shut-oH ball wham filter is removed ` Accepts 112" PVC `.. Handle F` Alarm Swltch 122 Linear k. -~ of 1/16 inch Filter Slots ' Fitter Housing .~ with 3"& 4" ~ Pipe Adapter (! -~;; -:~T~_I~ Gas Deflector Automatic Shut-OH c; Hall When -rv,? Fitter is Removed From Tenk Order # Model # Description PK-525 PL-525 Effluent Filter System PK-122 PL-122 Effluent Filter System 6-10 List Price 203.50 62.50 P~. ~ ~'// 43~" 2 ~_ _< fTl n C7 vlyy mN m~~ I ~ Z D DAI m ~ cn mD rnAr 1„ 37 IV (n ., ~ Z n m I -~ .0 r 0 18" MIN. ~ m N .Z7 A rn D = --I m D D Z Q _< C~ C .D D O 37" I ~ 2~„ ~ N m m m C7 ? 'a D ' D ~D N Z N ~ I A D N N ~ I m N w A m D r m ~o m z r~ n o~~ I-,-, C r~ ~ D -~ y r- rn ~ ~~ ~ D r- D D I- Z ~ ~ Ln L O .~ Z -< ~~ 6" r Z G7 S O O N /V n D ~ Z ~ ~ D -~ ~~ ~~ FILTER CANISTER DETAIL SCALE:3/4" = 1' REV N0. DATE: ~^° m W~ESE~ COIICAETE DRAWN BY:SWT z SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, wi 54750 DATE: JANUARY 2008 J ~° REV, JAN. 2008 800-325-8456 FILE: SHEET 13 D m~ m A O ~X ~~f ~mz rZ O~ ~n I D D N ~ O7 I O m w Z r ,~ . T6~~~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer PTO rY, 2r-e. ~.~ ~.~,h Mailing Address `~ Ste' ~~ ~ ~ lu 1~_ Property Address (Verification required from Planning Department for new construction) City/State ~~ v~ ~.Sc~r-3 , GJ s-. Parcel Identification Number V 2 C~ - 11 2 ~ ' ~ y ' ~ LEGAL DESCRIPTION 1 Property Location ~t.~ '/a, S~ `/a, Sec. ~_, T Z c1N-R! ~..,W, Town of w c 5 Subdivision = r ~ 1,C ~ \ ~ ,Lot # ~_. Certified Survey Map # .Volume ,Page # Warranty Deed # '~ ~ ~ S ~1 cl ,Volume ~ ~ ~ ,Page # ~ ~~ ~ Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooners if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification staring that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ,.~-days of? the three y xpiration date. .u., '' _... / / A OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tnie to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property des e, by virtue of a warranty deed recorded in Register of Deeds Office. r - / / SIG ~~T[JRE APP ' ICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~. 9~~i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 3~s /lei oc~c~ located at: ~_'/4, 5~ t/4, Section ~, Town~~N, Range~~W, Town of ,~~~srrr, , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No f- (if no, skip next line.) Approximate volume or length of time: - gallons minutes Tank Capacity: ~~ Construction: Prefab Concrete t/~ Steel Other Manufacturer (if known): G~,~,;5.e,- Ca~c~'e~ A o k (if known); ~G~ yeaics ermit nu ber (if known) ,,3~S3S- icensed Plumber Signature) (Print Name) mot. ~,P. s. (Title) S ~O/o (Date 3~-z/ (License Number) ]~/MPRS Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 ~V/ r9 N ~ 3 3 ~'~ ~-O C:; ' Ct - ~ ~ O~ Cb °- Q7 (V t$~ ~ w °~ co ° ~6 ;~ ~ O~ _ ~ ,,OS 9~ n O •,p / ,~ q °g~~Z 3~ ~ , r,~ _ -o ~r ~ 1 r, N -per ~\9~ _N ,~°h , ~0 cv w _ ~ ,, ' ~ ~ / M U o \ ~/~ ~ eJ ~ (n i~ ~ ~ Q 0 r~~ O ~ O~ w ~" ~ ,~,ti~ N Q 8s°~~, _ o , oo% ~ O ~ L ° pO ~~~ o J 3\ ~ 53 41 ~ i - ~ ' `N m ° `~ ~ ,~ N 2\ 56 O~ ~ ,~~ `~ O , X50 ° _ ~ , ~ 20 ~ i ~ ~ - - _ _ _ _. \ O~ W N ` ~ 1'n ~/ U Q ~ i \ \ dM' ~ -`~ ~' w ,3 \ ~ to rJi /~ ~i 36~ G ~ -~ - ~ ~ !.. j Ql cD ~ ~ _ i N ti ~i cn M b~'£8Z M„G£~IIoS N ~° ~ - ~' ~ ~ 3 O ~' - _ ~ ~ ~ ~ ~ ~ _ ~ ~ ~_ ~ S ~~ M ~j ~ ~~ ~~ ~`~°1S __9 --- M w °° ~ -Ji e N Q _o ~, w, o, ~ ,~ ._ i > i o i0 ~ ~ ~°~ N ~ i W ~N~ ~ d' o ° ~~ ~ ~~yy 1 ~ 2, c~ aD ~ ~= ~ ~O l1- ~ ~._} 0 ' In ~ OO O 1 (D r U• ' ~_ ~ ~ o ~ ~ ,SB'19£ ~~~° 0£ '99 ~~h ,f9'b8Z ,9L~ZIL ~0~~£Io0 N ------------- 56'~b6 f o ~'~~S ,. ~S~ i i ~{ OO+";`~A =~s? NG>. '': STATE BATS Off' WFSi'UI:SI~ T?G1~3: 1--`.8f.`~ F _ RI.LO NO; 21.15701. &~~1~ I ~JPA6C ~;) ESCROW NO: EC8o66[+~-BJM ,; This Deed, made between ...DAVID M.• :!L~LONE~•-JR-.•.-AND _.......-CYNTHIA..J.- _MALONE,~_-HUSBAND.--AND._WIFE-~--•AS----.- 'I .......................... ..•--.._...------•-•---•---•-----•----••-•---.....------•--------...., Grantor, l! and-...JAMS J. REIDII ArID•~.C:..I~I.~`~.1_:~,----------------~. ±t Ht~.ANR..WZk~,.. ~..~VI~.-M~~-.PF~?P'F~['K --...----- TMI~} 8Me1CL RE55'?Y FG FG9i fi£C:i AOIt~tG 6ATA ~~~e ST, ~(~ - i~l~, R~c'd. fi~.x Record lla;~ 1 s t ~c7j/ Of OG t . A.U. 119$6 11:20 A ~~+ ~t_A Owls ----------------------•----- ---...................._............_......-- ---....-•------------•-. Grantee, Vtilitnesseth, That t}~e said Grantor, foz a valuable consideration_._.. thia..Aa~.].ax....t.S~..-Q0:)-..and-.a.>~hex..good...and..val,uab~e...ao~s~~ratton _ RLTURN TO conveys to Grantee the following described real estate in _.._S.T,...CROIX..-..-.. Couniy, State of Wisconsin: LOT 43 EAGLE RIDGE, TOWN OF HUDSON, Ta: Parcel No_ ___________________________________ ST. OUNTY, WISCONSIN. ~-.Alv'SF F~ This ---------------•-.--........ homestead property. ' (is) (is not) ~: , ~ ', Together with all and singular the hereditaments and appurtenances thereunto belonging; And...DAY.LD..M~...MALOIdE-,•--JR~..ANI).. CXhtTHIA .~Is..1~+18LO1~IE-------------- -.--.-----------.-•---.--....----•- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated Chia ---------------- ---•-----.3~~_ day of ._~~..i,'2~.!~~~.._ -•--.....- -...-•--------• ---•-/------•--•------• 19--------• -------(SEAL) -- -..- /1./!~ ~t~~. -i--------•--•------(SEAL) . D ID M. MA ONE R. ------- ------------°------•--...----...-•---••----•-•---------- ._(SEAL) x.-- - - -.'~t`q.% -- -'.- i~l~!-~~x-~..:-----(SEAL) CY HIA J.LONE „- _ e AIITHBNTICATION ACHNOWLBDCi]![lilk'P -• ~~1 - 3ignatare(aj .....................................°..---°------.-.--- STATE OF WISCONSIN .;; Q ~ .~.. V :c. :~ ~•. _County ~® anthenhcated this ----..--day of--------------------------- 19-----. Personally came before me this .as ~`~~.`/••~~ '~ ---~?~Q!(1n~3Er-------------- 19.x-- ~e'il:bobl3ed TITLE: NEIdBEli STATE BAB OF WISCONSIN (If not, --------•-•--•-•--...-•--••----•------•-•---------•--•-••-- aathorized by ~ ?06.06, Wis. Stata.) THIS INSTRUMENT WAS DRAFTED BY "PREPARED 8Y ANTHONY ZOilA80LAS' to me known to be the person .-______._._ who executed the '~regoi;,g iratrsaert and acknowledge the same. --~ x'1!"1-- YL l :1(~~61.11ti1Y~.~ ------ --- ~--M:-.Y~OLt~SN-11~~.1-------------------------- ...K -~ . Nnta*v Pnhlir ST• C.1zO~X (`nnnty Wi•